TRADE
Application # 1!29
Please note if this application Mail In application
Harnett County Central Permitting
is part of a job in progress
with open permits. PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
_yes _no www.harnett.org/permits
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
CJIMMy C,4RPE~,~Z) Contractor Information
I, AR IAMFp¢.T LONCEPTs will complete the HVAC work on the project or
(Name) (Trade)
structure herein described. My state license number is 24542 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: .4iz- Comm-oRT I. n/ONCIVp-m
Mailing Address: P-0-BOX %309 KwGlA7UALE W 2154-r?
Street Address: 11616 CANE PA. NUDDLCSL-X, NC 2.155"1
Business Phone: QI4.833.4435 Email Address: S do tj.horcL iahmCam
'Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: Rkk A~ t l JO B Phone:
TenantlBuilding Owner(if different): Phone:
Construction or Site Address: 4q RiDGEWA~CT. `+tti1FO~D, N~
PIN or Parcel # from GIS:
Specific Directions to Job from Lillington:
Dte.Ecrtat.>t ti~sEu
Description of work to be done: RE PLA Ca 1NJC1WQ" Job Cost: 32W °o
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping _
-Electrical:------200 Amp _ - <200 Amp _ Service Change _ Service Reconnect _ Other )LL\3 C-rwoex-._
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater _ ON-y
Permit Cost
Permit Fee: $ 5010 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ 53 00
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
nn Lillington, NC 27546
Contractor's Signature: CO n pew Date: R 75.09
OO NOT SEND CA H. INCOMPLETE APPLICA77ONS WILL NOT BE PROCESSED.
TRADE 4/08
GIS Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page I of 1
1 f. iar MEN r ' 4n'j'(fiP 7~d#
fl ~t vnq !i Mina,, I✓' ~Alilt t i~ ,,,~`h" r III ~i x . Q{i~! i il~~i
I` i~ fie. _u'L~~~9f1~ ;~tP~`iiisr I!. „ i,
Search
ow All Selections
ns Clear
Is Feature
lion
YOUNG RYAN H & WIFE +I
~J ~ %~[T~DRI ~'kJ[I~~t V_OUNG SHEILA B. ~
DDR2 ~ ~ =.e r
9 RIDGEWAY_ COURT
' `•If
- ~ l ,.1rITY ^"~'r ~ 'SANFORD
awn ~C I III
273300000
I j s
Plt 9587-71-5217.000
F P%ItC C D 03958704 0020 54
h£tD i 0056707
ADDFS RIDGEWAY CT 49 X a!
Z: PH2 tA11 fi'„ • LOT#89 CRE§TVIEW ESTS s
iMAP#2001-329
8917• •;t tl 4, ! $R 1
X0.55465169
0154,14 1
0286
_ - }U ~71~ettin~e D~ X20071002 ~k
7ransaco ~ P , 6 !
i
® ite Information
sA~iF
a d PID PIN LEGAM
110395871>49587-71- RESBTVIEWEMAP#2001-RIDGEWAY CTI
1 01544 028615650018928(
1002054 5217A00ESTS PH2 329 49X
_ ZOQm To Result Set
,,yj ~ m t rr i ' 11
http://gistools.hamett.org/Freeance/Client/PublicAccessl/index.html?appconfig=public l 9/28/2009